Individual
DR. BARRY A. EDEWAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17521 MAIN ST N, BLOUNTSTOWN, FL 32424-1768
(850) 674-2020
(850) 674-4801
Mailing address
17521 MAIN ST N, BLOUNTSTOWN, FL 32424-1768
(850) 674-2020
(850) 674-4801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC857
FL
Other
Enumeration date
08/01/2006
Last updated
07/09/2007
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